Etminan, Mohammad
Etminan, Mohammad is an individual health care provider with primary practice located at 1517 Thompson Rd , Richmond TX 77469-4932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Etminan, Mohammad can be contacted via phone (281) 344-1715.Contact Information
Primary practice address
1517 Thompson Rd
Richmond TX 77469-4932
Phone: (281) 344-1715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | L2241 | Texas |
Profile Details
| NPI number | 1972509230 |
|---|---|
| LBN Legal business name | Etminan, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jun 28th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972509230 | NPPES |
| Texas | MEDICAID | 149358702 | |
| Texas | Other | 8M3060 | |
| Texas | MEDICAID | 149358705 | |
| Texas | MEDICAID | 149358706 | |
| Texas | Other | 3471057 | |
| Texas | MEDICAID | 149358704 | |
| Texas | Other | 182635700 | |
| Texas | Other | 7095249 | |
| Texas | Other | P01026731 | |
| Texas | MEDICAID | 149358703 |
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